Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.10 / $4,962.67 / $15,341.00	Facility		$961.10	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $803.14 / $945.26 / $1,128.61	Professional		$803.14	$945.26	$1,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $622.79 / $787.40 / $1,339.02	Facility		$622.79	$787.40	$1,339.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $638.00 / $850.66 / $1,051.90	Facility		$638.00	$850.66	$1,051.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.79 / $838.20 / $1,295.63	Facility		$622.79	$838.20	$1,295.63
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $140.01 / $140.01 / $140.01	Facility	AS	$140.01	$140.01	$140.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $47,655.50 / $52,124.27	Facility		$33,543.33	$47,655.50	$52,124.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00